Organization
VILLAGE CARE HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT OLSON (DIRECTOR OF OPERATIONS)
(832) 674-0100
Entity
Organization
Contact information
Practice address
414 STEPHEN F AUSTIN DR, CONROE, TX 77302-3140
(832) 674-0100
(832) 674-0100
Mailing address
1010 S MAGNOLIA BLVD STE L, MAGNOLIA, TX 77355-8550
(832) 674-0100
(832) 674-0100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105425
HHSC FACILITY ID #
TX
01
—
107052
HHSC FACILITY ID #
TX
01
—
107053
HHSC FACILITY ID #
TX
01
—
107077
HHSC FACILITY ID #
TX
01
—
149088
HHSC LICENSE #
TX
01
—
149349
HHSC LICENSE #
TX
01
—
150100
HHSC LICENSE #
TX
01
—
307128
HHSC LICENSE #
TX
Enumeration date
12/05/2019
Last updated
12/05/2019
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